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General NPI Number Information
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NPI Number | 1174552764
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Entity Type | Individual
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Provider Name | MICHAEL P JONES MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 7605 FOREST AVE STE 211
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City | RICHMOND
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State | VA
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Zip | 23229-4938
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Country | US
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Telephone | 804-282-3114
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Fax | 804-285-9723
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Provider Business Mailing Address
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Address Line | 7605 FOREST AVE STE 211
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City | RICHMOND
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State | VA
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Zip | 23229-4938
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Country | US
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Telephone | 804-282-3114
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Fax | 804-285-9723
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036101345
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0101043595
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License Number State | VA
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